Objectives: We studied the effect of Telehomecare (THC) in a group of Cystic Fibrosis (CF) patients. Specifically, in order to investigate the evolution of the clinical trend, we examined the monitoring activities of CF patients followed at home for a period of 4.5 years. Methods: Forced Expiratory Volume in the first second (FEV1) was monitored at home, with the aim of an early recognition of the relapses of pulmonary infections. FEV1 was monitored by Spirotel-MIR instrumentation for 4.5 years, using THC as a tool, in addition to the standard therapeutic protocol. 16 CF patients were followed by doctors specialized in the treatment, over a period of 4.5 years. As control group, we enrolled 16 CF patients with similar characteristics of age, degree of pulmonary involvement, bacterial colonization and O2 dependency. Results: While in the first 5 year report we showed statistically significant reduction in hospital admissions and a tendency over time towards a better stability of the respiratory function, here we provide an evidence of the significant different evolution between THCs and controls measured as the difference between the values of average annual FEV1 and those values observed during a starting reference year (i.e. 2011). Discussion: The obtained results in both quantitative and qualitative parameters of our work during these 10 years is positive. Data are encouraging concerning the possible role of Telemedicine as a tool for domestic assistance of patients affected by chronic diseases, such as CF.
Murgia, F., Tagliente, I., Mercuri, V., Bella, S., Bella, F., Zoppis, I., et al. (2017). Telemedicine home program in patients with cystic fibrosis: Results after 10 Years. In Communication, Management and Information Technology - Proceedings of the International Conference on Communication, Management and Information Technology, ICCMIT 2016 (pp.203-206). CRC Press/Balkema.
Telemedicine home program in patients with cystic fibrosis: Results after 10 Years
ZOPPIS, ITALO FRANCESCO;MAURI, GIANCARLOPenultimo
;SICURELLO, FRANCESCOUltimo
2017
Abstract
Objectives: We studied the effect of Telehomecare (THC) in a group of Cystic Fibrosis (CF) patients. Specifically, in order to investigate the evolution of the clinical trend, we examined the monitoring activities of CF patients followed at home for a period of 4.5 years. Methods: Forced Expiratory Volume in the first second (FEV1) was monitored at home, with the aim of an early recognition of the relapses of pulmonary infections. FEV1 was monitored by Spirotel-MIR instrumentation for 4.5 years, using THC as a tool, in addition to the standard therapeutic protocol. 16 CF patients were followed by doctors specialized in the treatment, over a period of 4.5 years. As control group, we enrolled 16 CF patients with similar characteristics of age, degree of pulmonary involvement, bacterial colonization and O2 dependency. Results: While in the first 5 year report we showed statistically significant reduction in hospital admissions and a tendency over time towards a better stability of the respiratory function, here we provide an evidence of the significant different evolution between THCs and controls measured as the difference between the values of average annual FEV1 and those values observed during a starting reference year (i.e. 2011). Discussion: The obtained results in both quantitative and qualitative parameters of our work during these 10 years is positive. Data are encouraging concerning the possible role of Telemedicine as a tool for domestic assistance of patients affected by chronic diseases, such as CF.
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